NPIMap

Individual provider Active NPI

Lashonda Kenya Bloodsaw-Scott, P.A.

  • Physician Assistant
  • Lawrenceville, GA
National Provider Identifier
1043459613
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5340 Issued in GA
Practice address
1735 N Brown Raod
Health Care Partners
Lawrenceville, GA 30043-3872
Phone
(352) 383-4505
Fax
(678) 218-4041
NPI assigned
Feb 5, 2009
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5340 GA Primary

Addresses

Primary practice location

1735 N Brown Raod
Health Care Partners
Lawrenceville, GA 30043-3872

Mailing address

1735 N Brown Rd
Lawrenceville, GA 30043-8158
Phone (352) 383-4505

Other names 1

  • Lashonda Kenya Bloodsaw Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000455 GA Practitioner - Physician Assistant 8729244173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5340GAMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Mar 24, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 10, 2012 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 10, 2012 Accepting new patients
Resurgia Health Solutions PC CurrentSince Feb 14, 2023 Accepting new patients
Maroon Bells Emergency Physicians LLC Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients
Tree Lane Inpatient Services LLC Physician Assistant Past Accepting new patients

Locations

1100 Peachtree St NE
Ste 200
Atlanta, GA 30309
Phone (404) 445-5304

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1043459613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N BROWN RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438158",
            "telephone_number": "352-383-4505",
            "fax_number": "678-218-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N BROWN RAOD",
            "address_2": "HEALTH CARE PARTNERS",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433872",
            "telephone_number": "352-383-4505",
            "fax_number": "678-218-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODSAW-SCOTT",
        "first_name": "LASHONDA",
        "middle_name": "KENYA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHONDA",
            "last_name": "BLOODSAW",
            "middle_name": "KENYA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.